Fixation Flashcards
Primary Objective of Fixation
To stabilize proteins which would preserve tissues and cellular components in a life-like state that would present autolysis and putrefication.
Classification according to Action
Microanatomical
Cytological
Histochemical
Permit the GENERAL microscopic
study of the structures without altering the
structural pattern and normal intercellular
relationship of the tissues in question.
Microanatomical Fixatives
Preserves the specific parts and
particular microscopic elements of the cell
itself
Cytological Fixative
Characteristics of a “ideal” fixative
- Cheap
- Stable
- Safe to handle
- Must only produce minimum shrinkage and distortion of cell components
- Hardens tissue
.6. Isotonic for minimal physical and chemical
alteration of the cells. - Permit the application of many staining procedures
True or False. It should have at least ONE
characteristic to be considered a “good” fixative
False. Fixative should have at least TWO or MORE of the characteristics to be considered a “good” fixative.
From oxidation of methyl alcohol
Formalin
Pure Stock Solution - Highest concentration of Formalin equal to 100%
37-40% Formalin
Usual dilution of Formalin or % solution.
10% Formalin solution
Dilution: 1:10 or 1:20
Formalin Pigments are formed from?
Acidic formalin solutions due to formation of formic acid by oxidation of formalin.
Removing Formalin Pigment
Kardasewitsch Method
Lillie’s Method
Picric Acid Method
Measurements by which Pathologists cuts small portion of the organ.
3-5 mm thickness
3 by 2.5 cm in area
A microanatomical fixative recommended for fixation of CNS and GENERAL post mortem
tissues and SILVER IMPREGNATION
10% Formol Saline
Considered as BEST GENERAL fixative and for tissues containing IRON GRANULES.
10% NBF
10% NBF are most recommended to used for?
preservation and storage of SURGICAL specimens
RESEARCH specimens
Tissues with IRON Granules
Elastic Fiber preservation
Advantages of 10% NBF?
- Doesn’t cause formalin pigment preventing precipitation of acid.
- Doesn’t require for post-treatment
- Fixative of choice in tissues containing Iron pigments.
Recommended for routine POST-MORTEM tissues
Formol Corrosive/Sublimate
Satisfactory for EM
Glutaraldehyde
Most common metallic fixative
Mercuric Chloride
Advantages of Metallic Fixative
- Increase staining Brightness
- Nuclear Detail
- Applied for Hematopoietic reticuloendothelial tissues.
Recommended for TRICHROME staining and GAA is added before use.
Zenker’s Fluid
Heidenhain’s Susa
SKIN TISSUE BIOPSIES
Chromate Fixatives
ROCK
Regaud’s (Moller’s): Chromatin, Golgi bodies, Colloid containing tissue
Orth’s: Rickettsia & Early Tissue Necrosis
Chromic Acid: Carbohydrates
K2CrO4: MITCHONDRIA
Recommended for ACID MUCOPOLYSACCHARIDE & CT Mucin
Lead Fixative
Best for GLYCOGEN demonstration & allows brilliant staining with the TRICHROME METHOD
Picric acid
Picric acid fixative for EMBRYOS
Bouin’s Solution
A NUCLEAR fixative used to form COMPOUND soln. that fixes and precipitates NUCLEOPROTEINS (Chromosome & Chromatin)
Glacial Acetic Acid
Methanol
BM and Blood Smears
Isopropanol
Touch Preparations
Gendre’s Fixative (Alcoholoc Formalin)
SPUTUM that coagulates mucus
Fixes conjugated FATS and LIPIDS permanently
Osmic Acid/Osmium Tetropxide
Differentiate Flemming’s Solution wit GAA and without GAA
Flemming’s with GGA: NUCLEAR preparation and PERMANENTLY fixes fat
Flemming’s without GAA: CYTOPLASMIC structure (mitochondria)
Heat Fixation
Used:
Frozen Tissue Sections
Bacteriologic Smears
Fixing brain tissues for diagnosis of RABIES.
Acetone
This process removes excess Fixatives.
Washing Out
Enumerate what are removed by the ff. solutions in washing out.
- Tap Water
- 50-70% Alcohol
- Alcoholic Iodine
1. Tap Water - excess chromates, formalin, osmic acid (NOT Bouin’s) 2. 50-70% Alcohol - excess picric acid (Bouin’s) 3. Alcoholic Iodine - excess mercuric fixatives
True or False. Formalin Penetration is 1mm/minute
False.
Formalin penetration - 1 mm/hr
True or False. Specimen should be transferred > 1 hour to fixative quickly.
False. < 1 hour.
Volume of Fixing fluid-to-Tissue
15-20: 1
A secondary fixation
Post-chromatizarion
Fixation time
6-24 hours
Histopathologic Techniques
- Fixation
- Decalcification
- Dehydration
- De-alcoholization or Clearing
- Infiltration or Impregnation
- Embedding
- Trimming
- Sectioning
- Staining
- Mounting
- Labelling
Factors involved in Fixation
pH: Thickness: EM - \_\_\_\_; LM - \_\_\_\_\_\_\_ Temperature: Traditionally @ RT - \_\_\_\_\_\_\_\_\_\_\_ For tissues w/ TB - \_\_\_\_\_\_\_\_\_\_\_\_ Osmolality: Slightly Hypertonic - \_\_\_\_\_\_\_\_\_\_ Isotonic - \_\_\_\_\_\_\_\_\_\_\_\_
Factors involved in Fixation
pH: 6-8 Thickness: EM - 1-2 mm; LM - 2 cm Temperature: Traditionally @ RT - surgical specimens For tissues w/ TB - Formalin @ 100C Osmolality: Slightly Hypertonic - 400-450 mOSm Isotonic - 340 mOsm
Formula: 10% NBF
Monosodium phosphate
Disodium phosphate
40% Formalin
Formula: Zenkers Fluid
Mercuric Chloride
Potassium Dichromate
GAAA
Formula: Helly’s - Zenker’s Formol
Mercuric Chloride
Potassium Dichromate
Sodium Sulfate
40% Formaldehyde
Formula: Heidenhains
Mercuric Chloride NaCl Trichloroacetic Acid GAA Formaldehyde - 40%
Recommended for demonstration of Ricketssia
Orth’s fluid
GAA solidifies at ____
17C
Precipitates proteins
TCA
Acetone fixative is used at ice cold temperature ranging from ____ to ____
-5C - 4C
Secondary fixative in Post chromatization
2.5-3% Potassium dichromate